HX64111970 
RA982.N48  N48  1913   Constitution, bylaw 


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Columbia  Unttergitp 
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College  of  iPfjpgtctans  anb  burgeons 


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Digitized  by  the  Internet  Archive 

in  2010  with  funding  from 

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Constitution,  By-Laws 

and 

Rules   and   Regulations 

of  the 

51oane    Hospital    for    Women 

College  of  Physicians  and  5urgeons 

Columbia  University 

New  York 


Amended  January  15,  1913 


Constitution,  By-Laws 

and 

Rules   and    Regulations 

of  the 

Sloane    Hospital    for    Women 

College  of  Physicians  and  5urgeons 

Columbia  University 

New  York 


Amended  January  15,  1913 


Press  of  Styles  &  Cash 
New    York 


l?Am/V^ 


CONSTITUTION 


ARTICLE  I. 

Title. 

The  name  by  which  this  Institution  shall  be  known  shall 
be  "The  Sloane  Hospital  for  Women." 

ARTICLE  II. 

Objects. 

The  objects  of  this  Institution  shall  be  to  afford  facilities 
for  instruction  in  the  study  and  practice  of  obstetrics  and 
gynecology  to  such  students  of  the  College  of  Physicians  and 
Surgeons  as  the  Faculty  thereof  may  select;  and  to  afford 
accommodation  and  furnish  skilful  attendance  to  women  who 
desire  an  asylum  during  their  period  of  confinement,  or  are 
in  need  of  operative  treatment. 

ARTICLE  III. 
Management. 

The  management  of  the  Hospital  shall  be  under  the  di- 
rection and  control  of  a  Board  of  Managers  composed  of  the 
following  persons,  and  their  successors  in  office,  to  wit : 

William  D.  Sloane,  representing  the  Donors. 

James  W.  McLane,  M.D.,  Dean  of  the  Faculty  of  the 
College  of  Physicians  and  Surgeons. 

Cornelius  Vanderbilt,  representing  the  Trustees  of  Colum- 
bia University. 

Francis  Delafield.  M.D.,  and  T,  Mitchell  Prudden,  M.D., 
representing  the  Faculty  of  the  College  of  Physicians  and 
Surgeons. 

ARTICLE  IV. 
Power  to  Fill  Vacancies. 

The  Board  of  Managers  "shall  have  power  to  fill  all  vacan- 
cies that  may  occur  in  the  said  Board. 

In  case  of  the  death,  resignation,  or  disability  of  William 
D.  Sloane,  the  Board  of  Managers-  shall  fill  the  vacancy  so 


4  CONSTITUTION 

caused,  by  the  election  of  such  person  as  the  said  William 
D.  Sloane  may  nominate  by  his  last  Will  and  Testament,  or 
by  an  instrument  in  writing  signed  by  him,  or  in  default  of 
such  nomination,  by  such  person  as  shall  be  nominated  in 
writing  by  the  personal  representatives  of  the  said  William 
D.  Sloane.  In  the  event  of  the  failure  of  the  said  William 
D.  Sloane  and  his  representatives  to  make  such  nomination 
the  Board  shall  elect  a  male  descendant  of  the  said  William 
D.  Sloane,  or  of  William  H.  Vanderbilt;  and  in  case  there 
is  no  such  descendant  the  Board  shall  elect  a  person  of  their 
own  nomination. 

In  case  of  the  death,  resignation,  or  disability  of  Cornelius 
Vanderbilt,  the  said  Board  of  Managers  shall  fill  the  vacancy 
so  caused  by  the  election  of  one  of  the  Trustees  of  Columbia 
University. 

In  case  of  the  death,  resignation,  or  disability  of  Francis 
Delafield,  M,D.,  or  T.  Mitchell  Prudden,  M.D.,  respectively, 
the  said  Board  of  Managers  shall  fill  the  vacancy  so  caused 
by  the  election  of  a  member  or  members  of  the  Faculty  of 
the  College  of  Physicians  and  Surgeons.  The  Dean  of  the 
Faculty  of  the  College  and  the  Professor  of  Obstetrics  in  said 
College  shall  always,  ex-officio,  be  members  of  the  Board. 

The  Dean,  and  the  members  of  the  Faculty  of  the  College 
of  Physicians  and  Surgeons  hereafter  elected  members  of 
the  Board  of  Managers  shall  hold  office  as  such  managers 
only  so  long  as  they  shall  be  officially  connected  with  said 
College. 

Any  Trustee  of  Columbia  University  hereafter  elected 
shall  hold  office  as  Manager  only  so  long  as  he  be  officially 
connected  with  said  University  as  Trustee. 

ARTICLE  V. 

Powers  and  Duties' of  Managers. 

The  Board  of  Managers  shall  have  the  entire  control  and 
management  of  the  hospital  with  exclusive  power  to  make 
the  necessary  rules  and  regulations  for  conducting  the  busi- 
ness thereof,  and  for  providing  such  medical  attendance  as 
shall  in  their  judgment  be  requisite ;  but  they  shall  have  no 
power  to  do  any  act  affecting  the  title  to,  or  disposition  of 
the  hospital,  or  of  any  of  the  property  in  the  hospital,  or  of 
the  money  or  securities  constituting  the  endowment  fund 
of  said  hospital,  which  shall  at  all  times  be  vested  in  and  be- 
long to  the  Trustees  of  Columbia  University.  The  said 
Board  shall  have  the  direction  of  the  expenditure  of  the  in- 


CONSTITUTION  5 

come  arising  from  such  endowment  fund  as  has  heretofore 
been  or  may  hereafter  be  provided  by  the  Donors  for  the 
support  and  maintenance  of  the  said  hospital,  and  of  all 
other  income  which  said  hospital  may  be  entitled  to  receive 
from  any  source  whatsoever. 

ARTICLE  VI. 

Educational  Purposes  of  the  Hospital. 

The  said  Hospital  shall  be  controlled  and  managed  in  such 
manner  as  to  afford  the  most  favorable  opportunities  to  the 
students  of  the  College  of  Physicians  and  Surgeons  for  prac- 
tical instruction  in  Obstetrics  and  Gynecology,  and  the  Profes- 
sor of  Obstetrics  in  said  College  shall  have  the  direction  of 
the  service  and  management  of  said  Hospital,  so  far  as  the 
same  relates  to  or  affects  the  administration  of  the  hospital 
as  an  educational  institution. 

ARTICLE  VII. 

Amendments  to   the  Constitution. 

Amendments  to  the  Constitution  shall  be  proposed  in 
writing  at  a  regular  meeting  of  the  Board  of  Managers,  and 
may  be  acted  on  at  the  next  regular  meeting  of  the  Board, 
or  at  a  special  meeting  called  for  that  purpose;  and  shall  be 
adopted  only  on  a  concurrence  of  a  majority  of  the  Board 
of  Managers. 


BY-LAWS 

OF  THE 

BOARD  OF  MANAGERS 


§  i,.  There  shall  be  a  President,  a  Secretary,  and  a  Treas- 
urer, who  shall  respectively  discharge  the  usual  duties  of 
such  officers. 

§  2.  The  officers  shall  be  elected  by  ballot  at  the  Annual 
meeting  in  January  in  each  year. 

§  3.  The  President  shall  preside  at  all  meetings  of  the 
Board ;  in  case  of  his  absence  the  Managers  present  shall 
elect  one  of  their  number  to  preside.  He  shall  appoint  all 
Committees,  and  shall  have  general  supervision  of  the  man- 
agement of  the  Hospital. 

§  4.  The  Secretary  shall  keep  the  minutes  of  the  proceed- 
ings of  the  Board ;  shall  preserve  such  papers  and  records  as 
do  not  pertain  to  the  office  of  Treasurer ;  shall  give  due 
notice  to  members  of  all  meetings,  and  generally  shall  per- 
form such  duties  as  usually  pertain  to  the  office. 

§  5.  The  Treasurer  shall  collect,  receive,  and  receipt  for  all 
moneys  to  which  the  said  Hospital  is  entitled,  including  the 
income  of  the  endowment  fund,  and  shall  keep  proper  books 
of  account  thereof ;  and  at  the  close  of  the  fiscal  year  shall 
submit  a  statement  showing  the  financial  situation. 

§6.  At  the  Annual  Meeting  the  President  shall  appoint  an 
auditing  and  a  visiting  committee,  each  to  be  composed  of 
two  members. 

§  7.  The  Auditing  Committee  shall  examine  the  Treas- 
urer's accounts  at  the  close  of  each  fiscal  year  and  report 
on  the  same  to  the   Board. 

§  8.  The  Visiting  Committee  shall  make  frequent  inspec- 
tions of  the  Hospital  and  render  reports  thereof  to  the  Board, 

§  9.  The  Annual  Meeting  of  the  Board  shall  be  held  on  the 
third  Wednesday  in  January,  and  regular  meetings  shall  be 
held  on  the  third  Wednesday  of  March,  May,  and  November. 
Three  members  shall  constitute  a  quorum  for  the  transaction 
of  business.  The  President  may  call  a  special  meeting  when- 
ever he  shall  deem  it  necessary,  giving  at  least  one  day's  notice. 


Officers. 


Election  of 
Officers. 


President. 


Secretary. 


Treasurer. 


Committees. 


Auditing 
Committee. 


Visiting 
Committee. 


Meetings. 


BY- LA  WS  OF  THE  BOARD  OF  MANAGERS 


Medical 
Staff. 


Rules  and 
Regulations. 


Suspension 
of  Officers. 


Order  of 

Business  at 
Meetings. 


Amendments. 


§  io.  The  Board  shall  appoint  a  Medical  Staff  to  consist 
of  one  Consulting  Obstetrician  and  Gynecologist;  one  At- 
tending Obstetrician  and  Gynecologist ;  two  Assistant  x\ttend- 
ing  Obstetricians ;  two  Assistant  Attending  Gynecologists ;  a 
Resident  Obstetrician  and  four  Assistants ;  a  Resident  Gyneco- 
logist and  one  Assistant ;  a  Pathologist  and  one  or  more 
Anesthetists. 

The  Resident  Obstetrician  and  his  four  Assistants  and  the 
Resident  Gynecologist  and  his  one  Assistant  shall  reside  in 
the  Hospital  and  shall  constitute  the  House  Staff. 

The  appointment  of  the  Assistant  Attending  Obstetricians 
and  Assistant  Attending  Gynecologists  shall  be  for  one  year 
from  the  date  of  the  annual  meeting. 

§  ii.  The  Board  of  Managers  shall  appoint  a  Superin- 
tendent and  an  Assistant  Superintendent  of  the  Hospital ;  a 
Principal  and  an  Assistant  Principal  of  the  Training  School. 

§  12.  The  Board  of  Managers  shall  prescribe  rules  and 
regulations  respecting  the  management  of  the  affairs  of  the 
Hospital.  Such  rules  and  regulations  may  be  amended  at 
any  meeting  of  the  Board  by  a  majority  of  those  present. 

§  13.  If  any  officer  or  Physician  shall  become  unfit  to  exe- 
cute his  office,  or  shall  conduct  himself  contrary  to  the  rules 
of  the  Hospital,  or  refuse  or  neglect  to  execute  the  same, 
the  Board  may  suspend  or  discharge  the  officer  or  Physician. 

§  14.  The  order  of  business  shall  be  as  follows : 

1.  Reading  of  Minutes  of  the  last  meeting. 

2.  Reports  of  Committees. 

3.  Communications. 

4.  Special  order  if  any. 

5.  Unfinished  business. 

6.  Motions  and  resolutions. 

These  By-Laws  may  be  amended  at  any  regular  meeting 
of  the  Managers  by  a  majority  of  those  present,  provided 
that  a  copy  of  the  proposed  amendment  shall  have  been 
mailed  to  each  member  at  least  five  days  before  the  meeting. 


RULES   AND    REGULATIONS    FOR   THE 
HOSPITAL 


HOUSE     MEDICAL    STAFF. 

§  i.  The  House  Medical  Staff  shall  consist  of  a  Resident 
Obstetrician  and  four  assistants,  and  a  Resident  Gynecologist 
and  one  assistant. 

The  Assistant  Obstetricians  shall  be  designated  as  the  First, 
or  Night  Senior  Assistant;  the  Second,  or  First  Day  Senior 
Assistant ;  the  Third,  or  Second  Day  Senior  Assistant,  and  the 
Fourth,  or  Junior  Assistant. 

The  Gynecological  Assistant  shall  be  designated  as  the 
Assistant  Resident  Gynecologist. 

§  2.  The  Resident  Obstetrician  shall  serve  during  the  pleas- 
ure of  the  Board  of  Managers,  and  each  of  his  assistants  for 
a  period  of  four  months. 

The  Resident  Gynecologist  shall  serve  during  the  pleasure  of 
the  Board  of  Managers,  and  the  Assistant  Resident  Gyne- 
cologist for  a  period  of  one  year.  All  of  these  House  Officers 
shall  reside  at  the  Hospital.  In  addition  there  shall  be  one  or 
more  Gynecological  Anesthetists,  who  shall  reside  and  be  al- 
lowed to  practise  outside  of  the  Hospital. 

§  3.  The  Resident  Obstetrician  and  Resident  Gynecologist 
shall  visit  each  patient  in  their  respective  Divisions  morning 
and  evening,  and  be  prepared  to  report  the  state  of  the  patients 
to  the  Head  of  the  Division. 

§  4.  They  shall  not  be  absent  at  the  usual  visiting  hour  of 
the  Head  of  the  Division. 

§  5.  The  Resident  Officer  of  each  Division  shall  record  all 
prescriptions  and  directions  for  their  administration  in  books 
to  be  kept  for  that  purpose. 


10  R  ULES  AND  REG  ULA  TIONS 

§  6.  He  shall  be  held  responsible  for  full  and  accurate 
histories  being  taken  of  every  case  which  comes  under  his 
professional  charge,  which  shall  be  preserved  in  books  pro- 
vided for  the  purpose. 

§  7.  He  shall  give  special  attention  to  the  ventilation,  tem- 
perature, and  light  of  the  wards. 

§  8.  He  shall  inspect  at  frequent  intervals  the  food  served 
to  the  patients  and  report  the  condition  of  the  same  to  the 
Head  of  the  Division. 

§  9,  In  any  case  of  serious  emergency  he  shall  immediately 
report  the  same  to  the  Head  of  the  Division,  or  if  he  can 
not  be  found,  to  his  next  assistant. 

§  10.  He  shall  in  no  case  substitute  one  of  his  assistants 
in  the  performance  of  any  duty  specially  incumbent  on  him- 
self, except  by  permission  of  the  Head  of  the  Division. 

§  11.  All  instruments  and  apparatus  shall  be  in  the  custody 
of  the  Resident  Officers ;  shall  be  kept  in  the  places  assigned 
to  them,  and  shall  not  be  loaned  for  use  outside  of  the  Hos- 
pital except  to  the  Head  of  the  Division  or  one  of  his  as- 
sistants. 

§  12,.  It  shall  be  his  duty  to  enter  upon  the  proper  catalogue 
any  new  instruments  or  apparatus  that  shall  from  time  to 
time  be  added  to  the  collection,  and  he  shall  be  held  respon- 
sible for  the  safekeeping  of  the  same. 

§  13.  The  Resident  Officer  shall  accompany  the  Head  nf 
the   Division   in  his  visits  to  the  wards. 

§  14.  Members  of  the  House  Staff  shall  not  engage  in  any 
other  business  than  that  of  the  Hospital  during  their  term 
of  service,  nor  shall  they  practise  outside  the  Hospital. 

§  15.  The  Resident  Officer  of  the  Division  or  one  of  his 
assistants  shall  examine  all  patients  who  present  themselves 
for   admission   to   the   wards   of   the   Hospital. 

§  16.  The  Resident  Obstetrician  and  his  First  and  Second 
Assistants  shall  not  be  absent  from  the  Hospital  simultane- 
ously, nor  shall  the  Resident  Gynecologist  and  the  Assistant 
Resident   Gynecologist  be   absent   simultaneously. 


R  ULES  A  ND  REG  ULA  TIONS  11 

§  17.  Leave  of  absence  may  be  granted  to  the  Resident 
Officer  of  each  Division  and  to  the  Assistant  Resident 
Gynecologist  for  a  period  not  exceeding  two  weeks  during 
each  six  months  of  service.  Applications  for  such  leave  shall 
be  presented  to  the  Head  of  the  Division.  The  vacations  of 
the  Resident  Obstetrician  and  Resident  Gynecologist  must  not 
be  taken  simultaneously,  or  overlap  each  other. 

§  18.  No  member  of  the  House  Staff  shall  receive  any  com- 
pensation or  gift  from  any  patient  unless  authorized  to  do  so 
by  the  Head  of  the  Division. 

§  19.  No  member  of  the  House  Staff  shall  take  part  in 
post-mortem  examinations. 

§  20.  At  the  expiration  of  their  terms  of  service  a  Diploma 
may  be  granted  to  the  members  of  the  House  Staff,  on 
recommendation  of  the  Head  of  the  Division,  if  their  services 
have  been  acceptable  to  the  Managers. 

§  21.  When  a  patient  dies  the  Resident  Officer  shall  promptly 
notify  the  Head  of  the  Division,  and,  in  case  of  an  autopsy, 
the  Pathologist.  He  shall  also  fill  out  the  death  certificate  as 
required  by  the  Board  of  Health. 

No  autopsy  shall  be  performed  without  permission.*  In 
the  case  of  the  death  of  an  adult,  a  written  permit  shall  be 
obtained  from  the  husband  of  the  deceased,  or,  if  there  be 
no  husband,  from  the  next  of  kin  charged  by  law  with  the 
duty  of  burial,  in  the  order  named :  child,  brother,  sister, 
father,  mother,  uncle,  aunt,  nephew,  niece.  In  the  case  of  the 
death  of  an  infant  whose  father  does  not  claim  the  body,  oral 
permission  from  the  mother  in  the  presence  of  two  witnesses 
shall  be  deemed  sufficient ;  but  in  other  instances  permission 
in  writing  must  be  obtained  from  the  father. 

§  22.  The  House  Staff  are  forbidden  to  visit  either  the 
corridors  or  the  rooms  set  apart  for  the  use  of  the  Principal 
or  the  Assistant  Principal  of  the  Training  School,  or  the 
rooms  of  any  of  the  nurses. 

§  23.  Members  of  the  House  Staff  having  occasion  to  be 
absent  from  the  Hospital  shall  leave  notice  of  their  departure 
and  return  at  the  office. 


*The  New  York  State  Law  provides  that  an  autopsy  may  be  performed  '"whenever 
and  so  far  as  the  husband,  wife,  or  next  of  kin  of  the  deceased,  being  charged  by  law 
with  the  duty  of  burial,  may  authorize  dissection  for  the  purpose  of  ascertaining  the 
cause  ot  death,  and  no  further." 


12  R  ULES  AND  REG  ULA  TIONS 

§  24.  The  Resident  Obstetrician,  or,  in  his  absence,  the 
Resident  Gynecologist,  shall  be  the  Chief  Officer  of  the 
House  Staff. 

Applications  for  Positions  on  the  House  Staff. 

Applications  for  positions  on  the  House  Staff  may  be 
registered  at  any  time  with  the  Resident  Officer  of  the  Divi- 
sion. Such  applications  shall  be  referred  to  the  Head  of  the 
Division  who  shall  consider  the  same  with  reference  to  the 
qualifications  of  the  applicants,  professionally  and  otherwise. 
The  names  of  applicants  approved  by  the  Head  of  the  Division 
shall  be  sent  to  the  Board  of  Managers,  by  whom  the  appoint- 
ments shall  be  made. 

ADMISSION    OF   PATIENTS. 

§  I.  The  admission  of  patients  shall  be  under  the  control 
of  the  Resident  Officer  of  the  Division;  he  shall  receive  or 
reject  applicants  as  in  his  discretion  may  seem  advisable. 

§  2.  On  the  Obstetrical  Division  patients  should  be  instructed 
to  apply  for  admission  between  the  hours  of  two  and  four 
o'clock  p.m.  Patients  in  labor  shall  be  admitted  at  any 
hour  of  the  day  or  night. 

On  the  Gynecological  Division  patients  should  be  instructed 
to  apply  for  admission  between  the  hours  of  10.30  a.m.  and 
12  M. 

§  3.  The  circumstances  of  patients  admitted  to  the  wards 
of  the  Gynecological  Division  shall  be  investigated  at  the 
Superintendent's  office,  and  if  able  to  do  so  they  shall  be 
required  to  pay  in  advance  for.  board  and  care  the  sum  of 
$10.50  per  week. 

§  4.  Such  persons  as  are  unable  to  pay  the  above  sum,  or 
any  part  of  it,  shall  be  admitted  free. 

§  5.  Applicants  for  admission  who  may  wish  special  ac- 
commodations in  private  rooms  must  make  arrangement  for 
such  accommodations  with  the  Superintendent  of  the  Hospital. 

§  6.  Xo  patient  suffering  from  any  infectious  or  contagious 
disease,  whose  presence  in  the  Hospital  is  deemed  prejudicial 
to  the  welfare  of  the  other  inmates  shall  be  admitted,  nor  any 
whose  case  does  not  require  the  special  benefits  of  the  Hospital. 


RULES  A ND  REG ULA  TIONS  13 

THE  SUPERINTENDENT. 

§  I.  The  Superintendent  is  the  executive  officer  of  the 
Board  and  is  responsible  to  them  for  the  general  management 
of  the  Hospital.  She  is  to  see  that  all  regulations  and  direc- 
tions are  promptly  and  efficiently  carried  out,  and  for  that 
purpose  she  shall  have,  under  the  direction  of  the  Board,  the 
general  control  of  all  the  departments  of  the  Hospital  and 
of  all  employees. 

§  2.  She  shall  have  power  to  engage  and  dismiss  all  hospital 
employees  who  are  not  appointees  of  the  Board  of  Managers, 
and  it  shall  be  her  duty  to  dismiss  any  such  employee  who 
shall  be  guilty  of  conduct  detrimental  to  the  discipline  of 
the  Hospital. 

§  3,  She  shall  be  responsible  for  the  purchase  of  provisions 
and  all  other  stores  and  supplies  required  for  the  Hospital, 
and  for  the  proper  issue  of  the  same. 

§  4.  She  shall  see  that  all  articles  purchased  for  the  Hos- 
pital have  their  correct  weight,  measure  and  quantity;  that 
the  same  are  recorded  in  a  book  kept  for  that  purpose  and 
shall  properly  account  for  their  distribution. 

§  5.  She  shall  receive  all  money  paid  by  patients  for  board 
and  care  during  their  stay  in  the  Hospital.  She  shall  keep 
in  books  provided  for  the  purpose  a  regular  and  accurate 
account  of  all  moneys  received  and  disbursed  by  her  on  behalf 
of  the  Hospital,  and  shall  at  the  end  of  each  month  render 
an  account  of  the  same  to  the  Treasurer. 

§  6.  She  shall  pay  servants'  wages,  and  examine  and  certify 
all  bills  and  forward  them  to  the  Treasurer. 

§  7.  She  shall  be  responsible  for  the  cleanliness  and  order 
of  all  parts  of  the  Hospital,  and  she  shall  see  that  the  food 
is  economically  and  properly  prepared  for  the  House  Staff, 
patients,  nurses,  and  servants. 

§  8.  The  Assistant  Superintendent  shall  perform  such  duties 
as  may  be  assigned  to  her,  and  during  the  absence  of  the 
Superintendent  shall  take  the  place  of  that  officer. 

THE     PRINCIPAL    AND    ASSISTANT     PRINCIPAL    OF    THE 
TRAINING  SCHOOL. 

§  I.  The  Principal  of  the  School  shall  exercise  the  functions 
of  her  office  subject  to  the  general  authority  of  the  Resident 
Officer  of  the  Division. 


U  R  ULES  A  ND  REG  ULA  TIONS 

§2,  The  nurses,  however,  shall  be  under  her  direct  super- 
vision and  control,  and  her  authority  shall  extend  over  all 
that  pertains  to  the  duties  and  discipline  of  the  nurses  in 
the  wards,  as  well  as  to  the  details  of  their  instruction. 

§  3.  In  case  of  misconduct  or  insubordination,  she  may 
suspend  a  nurse  from  duty,  and  refer  the  case  to  the  Attending 
Obstetrician    for    final    decision. 

§  4.  She  shall  see  that  the  studies  of  the  nurses  are  diligently 
pursued;  that  their  work  is  properly  performed;  that  their 
deportment  is  correct;  and  that  the  rules  pertaining  to  their 
duties  and  conduct  are  carefully  obeyed. 

§  5.  She  shall  see  that  the  directions  for  the  nursing  and 
care  of  all  patients  given  by  the  Attending  and  Resident  Of- 
ficers are  carefully  executed. 

§  6.  She  shall  superintend  and  visit  the  wards  and  see  that 
they  are  well  conducted. 

§  7.  She  shall  make  a  report  to  the  Board  of  Managers  on 
the  third  Wednesday  in  January,  March,  May,  and  November, 
on  the  work  of  the  school,  giving  a  list  of  the  nurses  who  have 
received  instruction,  stating  the  hospitals  from  which  they 
have  been  sent,  together  with  a  recommendation  of  those  to 
whom  in  her  judgment  a  diploma  should  be  granted. 

§  8.  The  Assistant  Principal  of  the  School  shall  exercise 
the  functions  of  her  office  subject  to  the  authority  of  the 
Principal  and  to  the  general  authority  of  the  Resident  Officers. 

§  9.  The  duties  of  the  Assistant  Principal  shall  be  such  as 
the  Principal  may  direct  and  include  such  things  as  relate  to 
the  management  and  conduct  of,  the  Training  School. 

§  iq.  Instruction  shall  be  given  by  the  medical  officers  of 
the  Hospital,  and  by  the  Principal  and  by  the  Assistant 
Principal  of  the  Training  School. 

§  11.  The  Principal  of  the  Training  School  and  the  Assistant 
Principal  shall  not  be  absent  at  the  same  time  from  the  Hos- 
pital, nor  shall  either  of  them  be  absent  from  the  Hospital 
during  the  regular  sleeping  hours  of  the  other. 

§  12.  The  Principal  of  the  Training  School,  the  Assistant 
Principal,  and  the  nurses  are  forbidden  to  visit  the  rooms 
of  the  Resident  Medical  Officers. 


R  ULES  AND  REG  ULA  TIONS  15 

§  13.  All  communications  and  requests  from  the  Super- 
intendent of  the  Hospital  and  from  the  Principal  of  the 
Training  School,  relating  to  repairs,  emergency  supplies,  etc., 
for  the  Hospital,  shall  be  made  directly  to  the  Board  of 
Managers. 

PERIODS  OF  SERVICE  FOR   NURSES. 

§  i.  The  regular  service  of  the  undergraduate  nurse  on  the 
Obstetrical  Division  shall  consist  of  three  months. 

§  2.  A  post-graduate  course  for  nurses  shall  be  given  and 
shall  consist  of  a  four  months'  service,  two  of  which  shall 
be  spent  on  the  Obstetrical  Division  and  two  on  the  Gyneco- 
logical Division. 

RULES    FOR    NURSES. 

§  I.  The  hours  of  duty  for  nurses  are  from  7  a.m.  to  7  p.m. 
by  day,  and  from  7  p.m.  to  7  a.m.  by  night,  and  they  must  be 
in  their  respective  wards  promptly  at  the  appointed  hours. 

§  2.  The  hours  for  meals  are  as  follows : 

Breakfast,  from  6.40  to  7.30  a.m. 

Luncheon,  from  12.30  to  1.30  p.m. 

Dinner,  from  5,30  to  7  p.m. 
A  suitable  supper  will  be  provided  for  the  nurses  on  night 
duty. 

§  3.  The  nurses  may  be  absent  from  the  Hospital  one  hour 
each  day,  one  afternoon  each  week,  and  four  hours  on  Sunday 
when  practicable. 

§  4.  When  a  patient  is  admitted  to  the  Hospital  a  complete 
list  of  her  clothing  and  effects  is  to  be  made,  and  this,  together 
with  the  number  of  the  closet  assigned  to  the  patient  for  the 
safekeeping  of  her  effects,  shall  be  registered  on  a  card  pro- 
vided for  the  purpose  and  signed  with  the  name  of  the  receiv- 
ing nurse.  She  shall  take  all  money  and  valuables  at  once  to 
the  Operating-Room  Nurse  who  shall  record  them  in  a  book 
provided  for  the  purpose  and  be  responsible  for  them  until 
they  can  be  deposited  in  the  office  safe. 

VISITORS. 

Visitors  shall  not  be  admitted  to  the  obstetrical  wards 
except  by  the  special  permission  of  the  Resident  Obstetrician. 
Visitors  will  be  admitted  to  the  gynecological  wards  on  Sun- 
days, Tuesdays,  and  Fridays  from  one  to  two  p.m. 


16  R  ULES  A  ND  REG  ULA  T10NS 

Not  more  than  two  visitors  will  be  allowed  any  one  patient 
except  by  the  special  permission  of  the  Resident  Gynecologist. 

No  articles  of  food  or  drink  shall  be  carried  by  visitors 
into  the  wards.  They  must  be  left  with  the  clerk  and  if 
approved  by  the  Resident  Officer  of  the  Division  will  be  sent 
to  the  patient. 

GENERAL  REGULATIONS. 

Xo  patient  shall  leave  the  Hospital  without  the  special 
permission  of  the  Resident  Officer  of  the  Division. 

Xo  wines,  spirits,  or  malt  liquors  shall  be  allowed  in  the 
Hospital,  except  such  as  may  be  ordered  for  medical  purposes, 
and  the  same  are  to  be  under  the  control  of  the  Resident 
Officer  of  the  Division. 

STUDENTS. 

All  students  while  in  attendance  at  the  Hospital  shall  be 
subject  to  such  rules  and  regulations  as  the  Board  of  Managers 
shall  prescribe.  In  order  to  render  the  Hospital  (as  far  as 
may  be  consistent  with  the  welfare  of  the  patients)  conducive 
to  the  advancement  of  medical  science,  the  Attending  Staff 
may  provide  practical  instruction  for  the  students  who  are 
admitted  to  see  the  practice  of  the  Hospital. 

PATHOLOGIST. 

The  Pathologist  shall  make  all  post-mortem  examinations  on 
persons  dying  in  the  Hospital.  He  shall  have  charge  of  all 
specimens  from  post-mortem  examinations,  and  of  all  such 
as  are  removed  by  operation  in  the  Hospital,  and  shall  deliver 
to  the  College  of  Physicians  arfd  Surgeons  such  specimens  as 
are  desired  for  preservation,  unless  otherwise  directed  by  the 
Attending  Staff. 

He  shall  record  on  a  blank  to  be  bound  with  the  history  of 
the  patient,  a  complete  description  of  all  autopsy  findings,  and 
shall  index  the  same  in  a  book  provided  for  the  purpose, 


DATE  DUE 

DEMCO  38-296 

RA982.2J48 


N4852 
1913 


New  York. icity )      Sloane   Wn*B j 


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